NICE osteoporosis guideline

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This NICE guideline summary discusses risk assessment for fragility fracture in osteoporosis and includes a helpful algorithm to help in clinical practice.

Osteoporosis is a disease of bone deterioration which increases fragility and fracture risk. Osteoporosis leads to nearly 9 million fractures annually worldwide, and more than 300,000 people present to hospitals in the UK with fragility fractures every year. Healthcare costs of fragility fractures were £1.8 billion in 2000, which will potentially increase to £2.2 billion by 2025. There are many risk factors for osteoporosis including smoking, the use of oral or systemic glucocorticoids, age, sex and family history of osteoporosis. Risk assessment tools for determining fracture risk can help guide osteoporosis prevention strategies and direct appropriate osteoporosis treatment.

This Guidelines summary provides recommendations for the use of risk assessment tools for fracture risk, who should receive a risk assessment and when to investigate further for osteoporosis. It includes an algorithm for when to assess fracture risk and the most appropriate tools to use.

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